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sirE aooRess <br />801 RUCKER AVE <br />LEGRL lOT N0. <br />nF�r <br />MARK OLSON <br />TENANiNqME <br />�°"'""�°R WESCO <br />( <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, [VEFETf, WA 98201 <br />425-257-8810 — FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />BLOCK <br />`o""�' u°E"SE" WASH IES971 OB <br />USE OF eU1lDIN0 <br />SFR <br />WORK �ESCRIPTION <br />PARCEL TAX I.D. k <br />ooassa�ssoo�oo <br />TRACT <br />801 RUCKER AVE <br />CONTACTF4RPERMIT <br />Naida Khan <br />ADDRESS <br />2800 Thorndyke <br />MEATSOURCt <br />_ EiecYric � Gas _ Other <br />REPLACE 120K GAS FURNACE; INSTALL 4 TON HEAT PUMP <br />N0. I TYPE OF FIXIURE OR ITEM <br />Bafhtub <br />Lavatory (wash bosin) <br />snower <br />Kdchen sink 8 dlsposal <br />Olshwasher <br />CIGI�ICs 1YasIiC� <br />Laundry ir8y <br />Sink (service/baUmop/etc ) <br />BaekllOw prevenler <br />Unnal <br />Ddnking Pounloin <br />Flo�r drain <br />Grease trap <br />Roof drains <br />Other_ _ <br />�� I'�•-1fi <br />Everen se2o1 425-750-4547 <br />PHONE <br />360-945-2787 <br />CITY2IP pHONE <br />SEATfLE 800-39U-4G63 <br />CON7RACT PRICE OF WORK <br />N0. I TYPE OF FqCTURE OR ITFM <br />A/C - air handling units <br />+ Forced alr systems <br />Gas piping <br />_ Water heat¢r <br />Gas fireplace <br />Gas range <br />_ cioth¢s aryer <br />,_ Range hood <br />Exhaust fan <br />� I leat pump <br />� Unit healer <br />� Boiler <br />Rofrigcrotion <br />Wo0dS10ve <br />Other <br />CI I t UF EVERETT LOCAL SALES TA% CODE IS 3705 <br />I hereby ceritiy that I have read and examined this epplication and know the same to be true and corred. All provisions of laws entl <br />ordinycos govoming Ihis typa of Hrork will be complicd with whether apecified herein or no'. The gmnting of a pertnit dces not presume <br />to pive authoriry to violate or cancel the provision of any other state or loral law regulaling construdion or the perfortnance of <br />construction. I am au e i by the owner of this propeny te pertormJ�1A�e tor which applicalion is made antl I comply vrth lhe <br />Slate CnMr . nra a 1 7 RG and 206.200 WAC. ����� � <br />% �. <br />� <br />L <br />